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1407503873
AMBILI GEORGE
ELLICOTT CITY, MD
NPI
1407503873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R208773)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
AMBILI GEORGE
5054 EXECUTIVE PARK DR
ELLICOTT CITY, MD 21043-8011
Phone number: 956-525-1960
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Mailing Address
AMBILI GEORGE
5054 EXECUTIVE PARK DR
ELLICOTT CITY, MD 21043-8011
Phone number: 956-525-1960
Copy
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